Shannon Fay is a Medical in Portland, Oregon. Shannon Fay practices all healthcare services and medical treatments related to Medical. The NPI Number for Shannon Fay is 1023177565. The last update date is 2020-12-29.
Shannon Fay's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034943442 and fax number 5034945330. The mailing address for Shannon Fay is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
Provider Name | Shannon Fay |
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Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
Phone Number | 5034943442 |
Fax Number | 5034945330 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1023177565 |
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Provider Enumeration Date | 2006-12-08 |
Last Updated Date | 2020-12-29 |
Provider Mailing Address Detail
Address | 3181 Sw Sam Jackson Park Rd |
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City | Portland |
State | Oregon (OR) |
Post Code | 972393011 |
Phone Number | 5034943442 |
Fax Number | 5034945330 |
Provider's Primary Taxonomy Detail
Speciality | Medical |
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Taxonomy | 363Am0700X |
Licence No | PA01170 |
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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What is the Shannon Fay's 1023177565?
The Shannon Fay's NPI (National Provider Identifier) Number is 1023177565. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the Shannon Fay's specialty and taxonomy code?
The Shannon Fay's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
When was the Shannon Fay's 1023177565 issued?
The Shannon Fay's 1023177565 was issued on 2006-12-08.
On what date did the Centers for Medicare & Medicaid Services issue the 1023177565 to Shannon Fay?
The Shannon Fay received its 1023177565 assignment from the Centers for Medicare & Medicaid Services on 2006-12-08.
When was the Shannon Fay's information last updated?
The Shannon Fay's information was last updated on 2020-12-29.
NPI Number: 1730182858
Address: 40 Old Lancaster Rd Apt 412, Merion Station, PA